Sample interview questions: How do you handle patients who are in need of emergency intra-aortic balloon pump (IABP) insertion?
Sample answer:
Assessment and Preparation:
- Assess the patient’s hemodynamics, including blood pressure, heart rate, and cardiac output.
- Obtain a 12-lead electrocardiogram to confirm the need for IABP insertion.
- Secure appropriate equipment, including the IABP console, sterile field, introducer sheaths, and balloons.
- Obtain informed consent from the patient or their designated surrogate.
Procedure:
- Prepare the sterile field and don sterile attire.
- Administer appropriate sedation and analgesia.
- Insert a femoral introducer sheath using fluoroscopic guidance.
- Advance the IABP catheter into the descending thoracic aorta.
- Inflate the balloon and initiate pulsatile assistance according to prescribed parameters.
Monitoring:
- Monitor the patient’s vital signs, including blood pressure, heart rate, and cardiac output, continuously.
- Observe the patient for signs of complication… Read full answer
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